SUSAN K PUA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170062

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

PUA

Business Name

SUSAN K PUA

Original Issue Date

07/18/2006

Effective Date

01/12/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011